Individual
KHAMIS G KHAMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5000
Mailing address
2828 CROASDAILE DR, DURHAM, NC 27705-2505
(866) 272-3030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA08322000
NJ
207Q00000X
Family Medicine Physician
08322000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167134
—
NJ
Enumeration date
04/08/2008
Last updated
08/06/2008
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